Contact dermatitis to cobalt chloride with an unusual mechanism

2014 ◽  
Vol 39 (5) ◽  
pp. 419-421
Author(s):  
Sevket Arslan ◽  
Serkan Aksan ◽  
Ramazan Ucar ◽  
Ahmet Zafer Caliskaner

Background:Contact dermatitis is a frequent inflammatory skin disease. A suspected diagnosis is based on clinical symptoms, a plausible contact to allergens and a suitable history of dermatitis. Therefore, careful diagnosis by patch testing is of great importance because the patch testing is important to find out which allergen/material causes the complaints. Metallic allergens such as cobalt are among the most common causes of allergic contact dermatitis, but frequencies of contact dermatitis to these allergens may vary in different skin areas. Here, we report an unusual case of cobalt allergy on the skin contact with the prosthetic leg of a 30-year-old female patient.Case description and methods:The patient developed maculopapular and vesicular lesions on her contact region of residual limb to prosthetic leg.Findings and outcome:She underwent standard patch testing, which resulted in a strong positive reaction to cobalt chloride.Conclusion:This case report may serve to remind doctors to be aware of potential allergic reactions to prostheses and to enable them to recognize a metal allergy if it appears. Prosthetists should also be reminded of potential allergic reactions.Clinical relevanceCobalt can be used as an accelerator in making a prosthetic socket. Several cases have been reported concerning allergies to components of the prosthetic socket. This is the first report of sensitization to cobalt which is used in making a prosthetic leg.

2020 ◽  
Vol 2020 ◽  
pp. 1-16
Author(s):  
Anna Tagka ◽  
George I. Lambrou ◽  
Electra Nicolaidou ◽  
Stamatios G. Gregoriou ◽  
Alexandra Katsarou-Katsari ◽  
...  

Contact dermatitis is a well-known skin condition, which is related to stimuli and environmental exposure to chemicals, affecting all ages as well as both genders. In the present work, we attempt to investigate the patterns of contact sensitization, with respect to the personal history of atopy (AT), in Greece in a large number of allergens, using patch testing. The retrospective analysis included clinical routine data of 1978 patients collected from 2014 to 2016 in the Laboratory of Patch Testing, National Referral Centre of Occupational Dermatoses. Sensitization, in all cases, was tested with 28 allergens of the European baseline series as adjusted to our local circumstances and clinical experience. A total population of 1978 patients was evaluated, with a male-to-female ratio of 0.45 (1359 females/619 males). From our patient cohort, 693 (35%) patients were evaluated with a history of atopy, while 1285 (65%) were nonatopic. The five most prevalent allergens in the total population without AT were nickel sulphate 5% (15.47%), fragrance mix (I) 8% (9.10%), balsam of Peru (6.47%), cobalt chloride 1% (4.70%), and thiomersal 0.1% (4.10%). Respectively, in the total population with AT, the five most prevalent allergens were nickel sulphate 5% (10.36%), fragrance mix (I) 8% (5.11%), balsam of Peru (3.29%), thiomersal 0.1% (3.03%), and cobalt chloride 1% (2.78%). Contact dermatitis surveillance is of great importance towards the clinical and systematic understanding of the disease. Further studies should be directed towards that end, in order to facilitate more effective health policies.


2015 ◽  
Vol 19 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Tiffany Chen ◽  
Melanie D. Pratt

Background: Paraphenylenediamine (PPD) is a coloring agent and potent sensitizer commonly added to henna tattoos to darken tattoo color. Photographic developers contain compounds that cross-react with PPD. Allergic contact dermatitis (ACD) from photo developers has been documented in the literature. Objective: We describe the rare case of a photographer who presented with a 4-year history of recurrent ACD following exposure to photochemicals. History taking revealed that 10 years before presentation, he had received a temporary henna tattoo. Methods: The patient was patch-tested with 4-methylaminophenol sulfate (Metol), the North American Contact Dermatitis Group (NACDG) series, and select other allergens. Results: Patch testing results revealed strong positive reactions to 4-methylaminophenol sulfate and PPD. Conclusion: This is the first report to our knowledge of ACD from a photo developer occurring as a consequence of previous sensitization to PPD from a temporary henna tattoo. Due to the potential for long-term sequelae, an awareness of the risks associated with henna tattoos is warranted.


Dermatitis ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Bruin Pollard ◽  
Reid W. Collis ◽  
Dylan Stahl ◽  
Carrie C. Coughlin ◽  
David M. Sheinbein

2020 ◽  
Vol 83 (4) ◽  
pp. 333-335
Author(s):  
Josefin Ulriksdotter ◽  
Martin Mowitz ◽  
Cecilia Svedman ◽  
Magnus Bruze

1970 ◽  
Vol 9 (1) ◽  
pp. 28-30
Author(s):  
R Shrestha ◽  
D Shrestha ◽  
R Poudyal ◽  
N Mishra

Egg allergies are one of the most common allergies of childhood and the reactions may vary from mild to severe. A family history of egg allergy or atopy is a risk factor for egg allergy. Most food-induced allergic reactions occur on first known oral exposure, especially in the case of eggs and peanuts. We report a case of nine months old infant who developed egg allery (contact dermatitis) after contact with egg white, with a positive family history of atopy and egg allergy. Keywords Egg allergy; contact dermatitis; infancy. DOI: http://dx.doi.org/10.3126/njdvl.v9i1.5766 NJDVL 2010; 9(1): 28-30


Dermatitis ◽  
2021 ◽  
Vol 32 (1) ◽  
pp. 38-41
Author(s):  
Fátima Tous-Romero ◽  
Pablo L. Ortiz Romero ◽  
Javier Ortiz de Frutos

Dermatitis ◽  
2011 ◽  
Vol 22 (2) ◽  
pp. E1-E6 ◽  
Author(s):  
Joshua O. Podjasek ◽  
Robert H. Cook-Norris ◽  
Donna M. Richardson ◽  
Lisa A. Drage ◽  
Mark D.P. Davis

Sign in / Sign up

Export Citation Format

Share Document